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Volunteer Application Form

Resuscitate Inc. is a nonprofit organization that provides child sexual abuse prevention training, education, intervention, recovery services, self-defense training, etc. to a diverse platform of individuals, communities, professional and governmental entities.

We encourage the participation of volunteers who support our mission and are willing to contribute.  However, applicants are subject to a criminal background check.  If you have been convicted and/or currently facing a charge of ANY type of crime involving a minor, please do NOT apply.  

The information provided through this form will be kept confidential and will help us determine the most satisfying and appropriate volunteer opportunity for you.



Birth Date

Complete SS#*

Email Address*

Phone Number*

Street Address*

Street Address Line 2

City, State*

Postal/Zip Code*

Educational Background




Have you ever been convicted of ANY crime involving a child/minor?*

Select an option

In which area(s) would you like to volunteer?*

Do you have any volunteering experience?

Select Your Available Days*

What time(s) are you available?*


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